The Following Forms Must be filled out by Non-Scouting Organizations to Use Yocona Area Council Properties at Camp Yocona, the Bay Springs Scout
|
|
- Wilfrid Copeland
- 5 years ago
- Views:
Transcription
1 The Following Forms Must be filled out by Non-Scouting Organizations to Use Yocona Area Council Properties at Camp Yocona, the Bay Springs Scout Base, Camp Toby Tubby or the Council Service Center
2 LETTER OF AGREEMENT FOR COUNCIL PROPERTY USE This letter of agreement is for the purpose of establishing the use of. by for the purpose of. This is a Boy Scout Facility and is used first and foremost by members of Boy Scouts of America. 1. is to use the property from beginning at AM/PM to at AM/PM. 2. Agrees to provide the Yocona Area Council with the following documents by. a. A certificate of liability insurance with a minimum of $2,000,000 CSL (combined single limit) with the Yocona Area Council, Boy Scouts, and Boy Scouts of America, names as additional insured, ten (10) day written notice of cancellation, and the period of time involved. b. A hold harmless agreement. (Copy attached) c. A certificate showing non-profit and/or tax exempt status. d. A roster showing the names of all youth and adults participating in this activity. 3. Agrees to pay $ for the use of the property stated above, which sum is payable by. 4. A deposit of $50.00 is required to be paid at the signing of this agreement. This is non-refundable, but is a part of the total fee. 5. Be responsible for any and all damages to Council property which may reasonably be attributed to the actions of the said group and agrees to promptly pay any and all reasonable damage claims when presented. 6. While Scouting makes every effort to accommodate all persons with disabilities, it is a charitable, private organization not subject to the ADA, and any group who uses the property is responsible for ADA compliance and any accommodations necessary for its participants and visitors. 7. No alcoholic beverages or illegal drugs of any kind are permitted to be used on the premises. 8. Agrees that you will provide at least one adult leader (defined as 21 years of age or older for purposes herein) for every ten (10) members of the party present in camp below the age of 21 years; that at least on the said adult leaders must be present with the group at all times while the group is in camp. (Minimum of 2 adult leaders)
3 Letter of Agreement Establishing Property Use Page 2 9. Agrees that the group will abide by any and all of the camp operating rules and instructions of the Scouting Professional present, the Camp Ranger (Camp Yocona) or US Army Corps of Engineers (Bay Springs) Yocona Area Council, Boy Scouts of America Organization By Title By Title Note: Please return the original and one copy along with other required documents and the deposit to the Yocona Area Council, Boy Scouts of America. 505 Air Park Road, Tupelo, MS SCOUT OATH On my honor I will do my best To do my duty to God and my country And to obey the Scout Law; To help other people at all times; To keep myself physically strong, Mentally awake, and morally straight. SCOUT LAW A Scout is trustworthy, loyal, helpful, friendly, courtesies, kind, obedient, cheerful, thrifty, brave, clean, and reverant Updated 2/13
4 ORGANIZATIONAL HOLD-HARMLESS AGREEMENT shall indemnify, hold free and harmless, assume liability for, and defend the Boy Scouts of America, Yocona Area Council, or Scouting s chartered organizations, and any of their affiliates, agents, servants, employees, officers, volunteers, and directors from any and all costs and expenses, including but not limited to, attorneys' fees, reasonable investigative and discovery costs, court costs, and all other sums that the Boy Scouts of America, Yocona Area Council, or Scouting s chartered organizations, and any of their affiliates, agents, servants, employees, officers, volunteers, and directors incur as a result of any demand for claim or assertion of liability under any municipal, state or federal law or cause of action, including any action under the Americans with Disabilities Act, arising or alleged to have arisen out of any act or omission of, or any use of real or personal property belonging to, the Boy Scouts of America, Yocona Area Council, or Scouting s chartered organizations, and any of their affiliates, agents, servants, employees, officers, volunteers, and directors Organization By: Title: Property and period to be used: Updated 2/13
5 INDIVIDUAL NON-SCOUTING RELEASE AND INDEMNITY/HOLD-HARMLESS AGREEMENT I understand that use of facilities on owned/leased by the Yocona Area Council, BSA, involves a certain degree of risk that could result in injury or death. In consideration of the benefits to be derived, after carefully considering the risk involved, and in view of the fact that the Boy Scouts of America is a not-for-profit organization: RELEASE AND INDEMNIFICATION I hereby release and waive any and all claims that I may have against Boy Scouts of America, Yocona Area Council, BSA and Scouting s chartered organization and any of their affiliates, agents, servants, employees, officers, directors and volunteers. shall indemnify, hold free and harmless, assume liability for, and defend the Boy Scouts of America, Yocona Area Council, or Scouting s chartered organizations, and any of their affiliates, agents, servants, employees, officers, volunteers, and directors from any and all costs and expenses, including but not limited to, attorneys' fees, reasonable investigative and discovery costs, court costs, and all other sums that the Boy Scouts of America, Yocona Area Council, or Scouting s chartered organizations, and any of their affiliates, agents, servants, employees, officers, volunteers, and directors incur as a result of any demand for claim or assertion of liability under any municipal, state or federal law or cause of action, including any action under the Americans with Disabilities Act, arising or alleged to have arisen out of any act or omission of, or any use of real or personal property belonging to, the Boy Scouts of America, Yocona Area Council, or Scouting s chartered organizations, and any of their affiliates, agents, servants, employees, officers, volunteers, and directors. Signature Telephone Number If signatory is less than 18 years of age, this must also be signed by a parent or guardian. Parent s Signature Telephone Number Signature Telephone Number updated 2/13
Borough of Lincoln Park Facilities Reservation Form (Effective January 2019)
Borough of Lincoln Park Facilities Reservation Form NAME OF ORGANIZATION or DEPARTMENT: RESPONSIBLE INDIVIDUAL: Address Town/City State Zip Phone Number E-mail address Facility Requested will be used for:
More informationCITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR
CITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR Please print clearly. Completion of the registration process is required for each participant prior to program start
More informationARKANSAS STATE UNIVERSITY STUDY ABROAD PARTICIPANT AGREEMENT
ARKANSAS STATE UNIVERSITY STUDY ABROAD PARTICIPANT AGREEMENT I,, am a student at Arkansas State University and plan to participate in the program from until. In consideration of permission to participate
More informationISABELLA COUNTY PARKS STANDARD FACILITIES USE AGREEMENT
ISABELLA COUNTY PARKS STANDARD FACILITIES USE AGREEMENT This Agreement describes the terms and conditions under which the undersigned outside party (the USER ) may use facilities owned by the Isabella
More information2016 5K Reindeer Run/Walk Team Registration
2016 5K Reindeer Run/Walk Team Registration Team Registration Forms and Waiver must be fully completed and received by December 2 nd in order to receive the $20/person group rate; Minimum of 3 people per
More informationCLEAR CREEK SCHOOL DISTRICT BUILDING USE FORM. am/pm to am/pm
KF-E1 CLEAR CREEK SCHOOL DISTRICT BUILDING USE FORM District Facility: Sponsor/Organization Making Request: Type of Event/Activity: Person Responsible: Mailing Address: Home Phone: Bus. Phone: Requested
More informationMIDLOTHIAN PARKS & RECREATION DEPARTMENT YOUTH SPORTS ASSOCIATIONS FACILITY USE AGREEMENT
MIDLOTHIAN PARKS & RECREATION DEPARTMENT YOUTH SPORTS ASSOCIATIONS FACILITY USE AGREEMENT THIS AGREEMENT is made by and between the City of Midlothian, Texas (the City ) and, hereinafter referred to as
More informationJP2 High School Youth Group
Tshirt Size (Adult S-XXXL): Roommate Choice, (2 beds/room)*: FORM XXIIIC -YOUTH MINISTRY PARTICIPATION, RELEASE AND INDEMNIFICATION AGREEMENT This is an invitation to participate in an activity sponsored
More informationYouth Services Programs Application Please complete and return application to Nome Eskimo Community at 200 W. 5 th Avenue or Fax
P.O. Box 1090 Nome, Alaska 99762 Phone: (907) 443-2246 Fax: (907) 443-3539 www.necalaska.org Programs Application Please complete and return application to Nome Eskimo Community at 200 W. 5 th Avenue or
More informationNSU PREVIEW DAY. Wednesday, March 28, :00 a.m. 6:00 p.m.
PREVIEW DAY NSU Multimedia Camp Wednesday, March 28, 2018 8:00 a.m. 6:00 p.m. Parent/Guardian Contact Information Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement Photo Release
More informationD.M.G. Athletics. The Official Indoor/Outdoor Summer Basketball League. Team Registration Packet
D.M.G. Athletics Presents The Official Indoor/Outdoor Summer Basketball League Team Registration Packet Questions: Contact Coach Dawne Gittens at 860-929-7692 or via email at dgittens@bgchartford.org Team
More informationForm Generic Liability Waiver. Legal Disclaimer
Form Generic Liability Waiver Developed by Ashley Newhall * and Kathleen Tabor Legal Disclaimer Attached is a generic liability waiver. This waiver is for educational purposes only! Using this form does
More informationOnly officials who have turned in the completed availability packet by the deadline date will be invited to attend the Mandatory Officials Meeting.
V A L L E Y M U N I C I P A L S P O R T S O F F I C E 6911 Laurelgrove Avenue North Hollywood, California 91605 Phone: (818) 756-8073 Fax: (818) 764-5794 E-mail: basketball.munisports@rap.lacity.org DATE:
More informationAPPLICATION AND AGREEMENT FOR RENTAL OF KAMLOOPS FLYING CLUB CLUBHOUSE
2845 Aviation Way, Kamloops, B.C., Canada V2B 7W1 APPLICATION AND AGREEMENT FOR RENTAL OF KAMLOOPS FLYING CLUB CLUBHOUSE RENTAL FEE ATTACHED Amount: $ GROUP NAME: Number in Group: YOUR NAME: ADDRESS: POSTAL
More informationManHood Camp LA 2017 Registration Paperwork Instructions
ManHood Camp LA 2017 Registration Paperwork Instructions 1) Please print out the following paperwork for your group. 2) You will need a liability release signed for every person in your group, both youth
More informationWaiver, Release of Liability, Indemnification and Consent to Medical Attention
Waiver, Release of Liability, Indemnification and Consent to Medical Attention 1. Voluntary Participation. I understand and confirm that my participation in the Program is voluntary. 2. Identification
More informationFlorida Waiver (Commercial) (All parents of minors who are Florida residents must sign both the Florida commercial and non-commercial waivers)
Florida Waiver (Commercial) (All parents of minors who are Florida residents must sign both the Florida commercial and non-commercial waivers) (Commercial Activity Providers) WAIVER AND RELEASE OF LIABILITY
More informationShort Term Use of Facilities by Others
Short Term Use of Facilities by Others The following Short Term Facility Use Agreement ( Agreement ) or alternatively Short Term Facility Use Agreement Amendment ( Amendment ) or other approved agreement
More informationFAQ: Additional Insurance Protection for Chartered Organizations
National Council, Boy Scouts of America Membership Impact Department FAQ: Additional Insurance Protection for Chartered Organizations The Boy Scouts of America provides Chartered Organizations general
More informationTULANE UNIVERSITY ATHLETICS CAMPS Physical Examination Information. Date / / Name of Camp: Name of Participant: Age: Birth date: / /
Physical Examination Information Date / / Name of Camp: Name of Participant: Age: Birth date: / / Each participant must EITHER attach a copy of a physician conducted sports examination applicable to this
More informationDIOCESAN FACILITY USAGE POLICY
DIOCESAN FACILITY USAGE POLICY Parishes/schools frequently allow groups to use their property for non-parish sponsored events. All groups that are not sponsored by a Diocesan parish must utilize the Diocesan
More informationDate of Birth Address City State Zip
RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE. You have the right to consult
More informationCOMMUNITY CENTER RULES AND REGULATIONS
130 SAMSON DALE AVENUE WEST HAVERSTRAW, NEW YORK 10993 845-947-2800 FAX 845-947-1560 COMMUNITY CENTER RULES AND REGULATIONS 1. All village laws and ordinances will be strictly enforced. 2. The use of alcoholic
More informationPARTY REQUEST FORM. If the actual number of guests exceeds the estimated party size, fees will be deducted from the security deposit.
PARTY REQUEST FORM Harbor Beach Surf Club (hereinafter HBSC ) is a non-profit organization with the primary purpose of providing its members a private and tranquil beach experience. Although, the leasing
More informationMedical Release Form/Media Release Form
Medical Release Form/Media Release Form All participants in TCS events must have a signed Waiver & Release Form, including adults 19 years and older. Participants under 19 must have the authorized signature
More information2018 Youth Academy Parent/ Guardian Agreement with NUS s Continuing Education
2018 Youth Academy Parent/ Guardian Agreement with NUS s Continuing Education Welcome to NSU Youth Academy! We are excited to have your child with us. In order to provide the best experience for our students
More information2019 Cattlemen s Days Gunnison, CO Vendor Rules and Regulations
2019 Cattlemen s Days Gunnison, CO Vendor Rules and Regulations 1 Space Contract Every vendor participating in the Event must have a signed Space Agreement. The signed Space Agreement is the only document
More informationATHENS YMCA CAMP KELLEY SUMMER CAMP 2018
ATHENS YMCA CAMP KELLEY SUMMER CAMP 2018 POLICIES Cost: Full Week (5 Days) $115, Half Week (3 Days) $70; Additional Children: Any additional children will receive a $10 discount on full weeks ONLY. Registration
More informationRedmond United Methodist Church
1 Facility Use Policy for Non-Church Sponsored Events Effective Date: April 11, 2016 A. Introduction The mission of (RUMC) is to Love, Serve, and Grow. RUMC provides our grounds, buildings, and equipment
More informationAGREEMENT TO TERMS AND CONDITIONS OF CPCC EDUCATION ABROAD AND WORK-RELATED TRAVEL PROGRAMS
Please initial each page. 1 AGREEMENT TO TERMS AND CONDITIONS OF CPCC EDUCATION ABROAD AND WORK-RELATED TRAVEL PROGRAMS I, (print your name), in consideration of Central Piedmont Community College ( CPCC
More informationESO GIRLS FASTPITCH SOFTBALL 2017 PLAYER REGISTRATION
ESO GIRLS FASTPITCH SOFTBALL 2017 PLAYER REGISTRATION Player Information First Name: Last Name: Address: City, State, Zip: Home Phone: Email: Date Of Birth: School: Grade: Jersey Size: Age Division Select
More informationEVENT EVENT INFORMATION. Event Name: Event Purpose: SPONSORING ORGANIZATION INFORMATION. Legal Business Name: Address: City: State/Zip:
EVENT Event Name: Event Purpose: SPONSORING ORGANIZATION INFORMATION Legal Business Name: CITY OF HOWELL CIVIC EVENT APPLICATION Complete and return this application to the City Clerk's Office Please refer
More informationSTATE UNIVERSITY OF NEW YORK Overseas Academic Programs AGREEMENT AND RELEASE FOR STUDY ABROAD
STATE UNIVERSITY OF NEW YORK Overseas Academic Programs AGREEMENT AND RELEASE FOR STUDY ABROAD For Participants in State University of New York Administered Overseas Academic Activities To the Student:
More informationName - Mailing Address - Address - Occupation - Home Phone - Work Phone - Date of Birth - \ \ Name - Home Phone - Work Phone -
Please take time to carefully fill out this form as it will help us to plan your trip to your satisfaction. Name - Mailing Address - Email Address - Occupation - Home Phone - Work Phone - Date of Birth
More informationVolunteer Staff Application
Special Journeys, LLC P.O. Box 583, Boys Town, NE 68010 (402) 884-1014 lexi@specialjourneys.org Volunteer Staff Application Name Address DOB (necessary for travel docs) Do you have a valid US Passport:
More informationCHAMPAIGN COMMUNITY UNIT SCHOOL DISTRICT NO. 4 Champaign, Illinois FIELD TRIP PERMIT
FIELD TRIP PERMIT (School) (Student s Name) (Teacher/Sponsor) (Telephone Number) PARENTS/GUARDIANS: A field trip to is planned for (class or group) on. The trip will begin at a.m./p.m. and return at a.m./p.m.
More information2018 Parade Application
Revised 2/12/18 2018 Parade Application Date: Saturday, June 16, 2018 Check-In: 9:00 AM 10:00 AM at Wallace & Associates and Bank of America Parking lot (230 E Fairhaven Ave) Parade Start Time: 11:00 AM
More informationThe College of Engineering & Computer Science Webelos Engineering Pin Day Saturday, October 28, 2017
The College of Engineering & Computer Science 2017 Webelos Engineering Pin Day Saturday, October 28, 2017 Registration at 7:30 a.m. - Event runs from 8:00 to 11:15 a.m. University of Evansville Koch Center
More informationAGREEMENT BETWEEN THE CITY OF BLOOMINGTON, MINNESOTA AND INDEPENDENT SCHOOL DISTRICT #271 OLDER ADULT FITNESS PROGRAMS
AGREEMENT BETWEEN THE CITY OF BLOOMINGTON, MINNESOTA AND INDEPENDENT SCHOOL DISTRICT #271 OLDER ADULT FITNESS PROGRAMS THIS AGREEMENT, is made this day of, 2017 by and between the CITY OF BLOOMINGTON,
More informationLake Washington Rowing Club
Lake Washington Rowing Club 2018 Junior Rowing Program Participant Information Form Participant Information (all fields must be filled out),, Last Name First Name Today s Date Mailing Address Birthdate
More informationSTUDY ABROAD WAIVER OF LIABILITY, INDEMINIFICATION, AND MEDICAL TREATMENT AUTHORIZATION AGREEMENT
STUDY ABROAD WAIVER OF LIABILITY, INDEMINIFICATION, AND MEDICAL TREATMENT AUTHORIZATION AGREEMENT I,, desire to participate voluntarily in the Study Abroad Program, West Texas A&M University, described
More informationINDEPENDENT SCHOOL DISTRICT #181
APPROVED: 9-15-1980 POLICY # 810 REVISED: 4/13/2015 INDEPENDENT SCHOOL DISTRICT #181 POLICY: USE OF SCHOOL DISTRICT FACILITIES AND EQUIPMENT I. PURPOSE The School Board encourages maximum community use
More informationKaren McCallum. Volunteer- Counselor in Training Applications. Spring Dear Counselor in Training Applicant:
Volunteer- Counselor in Training Applications Spring 2018 Dear Counselor in Training Applicant: Boardman Park Adventure Day Camp Program prides itself on its reputation for quality and service. This recognition
More informationAdopt-A-Road Program. For more information, please contact:
ADOPT-A-ROAD is a volunteer litter control program sponsored by the City of Apopka. Adopt-A- Road allows citizens to enhance the level of community pride in their surrounding area by reducing litter. Participants
More informationCITY OF PEEKSKILL USE OF RIVERFRONT GREEN APPLICATION APPLICATION INSTRUCTIONS
CITY OF PEEKSKILL USE OF RIVERFRONT GREEN APPLICATION APPLICATION INSTRUCTIONS 1. The following must be returned to the Recreation office to have your permit considered for approval: Completed and signed
More informationThere are a few things we need from you to make sure we are able to create the best camping environment possible:
Dear Counselor Applicant: The WAPAC Kid s Camp Team would like to thank you for offering your time to make a difference in the lives of children during the week of camp. Being a counselor is an awesome
More informationDANVILLE FAMILY YMCA MEMBERSHIP CONTRACT
DANVILLE FAMILY YMCA MEMBERSHIP CONTRACT 1 Name (First, Last): Date of Birth: Gender: Email: Address: City: State: Zip Code: Phone (Home): Cell: Work: Place of Employment/School: Emergency Contact: Phone:
More informationCity of Brighton. Civic Event Application. City of Brighton Civic Event Policy. Purpose
City of Brighton Civic Event Policy Purpose The purpose of the Civic Event Policy & Application is to promote uniform procedures to regulate and permit civic event activity at locations under the jurisdiction
More informationAdult 3-on-3 Basketball League 2018
Adult 3-on-3 Basketball League 2018 Welcome to s Adult 3-on-3 Basketball league. Seasons are either 8 or 10 weeks of play followed by play-offs (if you qualify). TEAM FEES/Per Season: $300 (8 Week Season)
More informationOGC-S Master Facility Use Agreement for Conference and Training Center
Master Facility Use Agreement for Conference & Training Center This Facility Use Agreement ( Agreement ) is made and entered into by and between Lone Star College (the College ) and ( Organization ), whose
More informationYouth Chorister Registration Form
The Royal School of Church Music Charlotte Course for Boys, Girls, Teens, and Adults July 18-24, A.D. 2016 Youth Chorister Registration Form Please circle one: Girl Chorister Boy Chorister Name: Last First
More informationCommunity Advocacy and Mentorship Program s (CAMP) Life Skills Retreat
Community Advocacy and Mentorship Program s (CAMP) Life Skills Retreat WHAT IS THIS? The Pediatric AIDS Coalition (PAC) at UCLA puts on a Life Skills Retreat for students around the country to participate
More informationCity of Bayport PARK RESERVATION REQUEST PICNIC SHELTER
City of Bayport 294 North Third Street Bayport, Minnesota 55003 Phone 651-275-4404 Fax 651-275-4411 www.ci.bayport.mn.us City of Bayport PARK RESERVATION REQUEST PICNIC SHELTER Applicant Information City
More informationSanta Monica State Beach APPLICATION FOR YOUTH GROUP BEACH/WATER ACTIVITY PERMIT
Date Received Staff Initials Santa Monica State Beach APPLICATION FOR YOUTH GROUP BEACH/WATER ACTIVITY PERMIT A Youth Group Beach/Water Activity Permit is required for groups including more than 20 children
More informationStudy Abroad Participant Agreement Assumption of Risk, Waiver of Liability and Indemnification
Standard Form Approved by the Lone Star College System Office of General Counsel Study Abroad Participant Agreement Assumption of Risk, Waiver of Liability and Indemnification I, (name of student) have
More information2016 OUCI Chinese Bridge Summer Camp Application
STUDENT INFORMATION Name (as it appears on your passport) Passport # Passport Expiration Date DOB Gender Cell Phone Email Address City State Zip PARENT/GUARDIAN INFORMATION Parent Phone Email Parent Phone
More information2015 AAU/USA NATIONAL KARATE CHAMPIONSHIPS
2015 AAU/USA NATIONAL KARATE CHAMPIONSHIPS CLUB APPLICATION INSTRUCTIONS 1. Any AAU member club may send in a club application, instead of individual entry applications. 2. Please follow all instructions
More information2016 AAU/USA NATIONAL KARATE CHAMPIONSHIPS CLUB APPLICATION INSTRUCTIONS
2016 AAU/USA NATIONAL KARATE CHAMPIONSHIPS CLUB APPLICATION INSTRUCTIONS 1. Any AAU member club may send in a club application, instead of individual entry applications. 2. Please follow all instructions
More informationCAMP AGAWAM FACILITY RENTAL FORM
CAMP AGAWAM FACILITY RENTAL FORM Camp Agawam facilities are available for rental use to everyone. Facilities must be reserved and paid for at least (2) weeks in advance, but can be reserved up to six (6)
More informationPromoters hosting USECF insured events must complete the included USECF event agreement and return to the USECF.
Dear Race Director, Thank you for your interest in using the USECF event coverage for your event. Enclosed you will find USECF insurance information for the 2017 year which can be used for gravel grinders,
More informationCOUNTY OF INYO FEES, RULES AND REGULATIONS FOR THE USE OF GROUP PICNIC AREAS AND COMMUNITY BUILDINGS
COUNTY OF INYO FEES, RULES AND REGULATIONS FOR THE USE OF GROUP PICNIC AREAS AND COMMUNITY BUILDINGS USE PRIORITIES: All community buildings under jurisdiction of the County are held in trust for the use
More informationOld Town Hall Facility Use Request Form
Old Town Hall Facility Use Request Form Requests will not be processed unless all 7 pages are submitted. Include proof of residency and any required insurance documentation. Applicant Information: Applicant/Organization
More informationRESOLUTION NO Amend Facility Use Policy and Establish Fees
RESOLUTION NO. 330-2016 Amend Facility Use Policy and Establish Fees NOW, THEREFORE, BE IT RESOLVED by the Mayor and Council of the Borough of Roseland that the Facility Use Policy shall be adopted as
More informationSpringville City Rental Agreement
Springville City Rental Agreement Renter Information: Name (Renter) Type of Group/Organization Address of Renter Home Phone Alternate Phone Event Information: Event Date Description of Event Rented Facility
More informationKids Creation Camp SCHOLARSHIPS ARE AVAILABLE! $205/Child $245/Child
Kids Creation Camp SCHOLARSHIPS ARE AVAILABLE! $205/Child $245/Child Kids Creation Camp SCHOLARSHIPS ARE AVAILABLE! $205/Child $245/Child Registration Form Please fill out and return to the address below
More informationFOOD VENDOR APPLICATION Application Deadline: Friday, February 22, 2019
Fair s: March 8-10, 2019 FOOD VENDOR APPLICATION Application Deadline: Friday, February 22, 2019 STEP 1 EHS Temporary Food Establishment Permit Application Temp Food Permit # Environmental Health Office
More informationALL SPORTS STRENGTH AND CONDITIONING CAMP
U n i v e r s i t y o f W a s h i n g t o n H u s k i e s ALL SPORTS STRENGTH AND CONDITIONING CAMP SATURDAY JUNE 1st, 2013 9-11am: grades 6-8 11:30-1:30pm; grades 9-10 2-4pm: grades 11-12 It s back for
More informationORDER SONS OF ITALY IN AMERICA LODGE 2662 ARTS & CRAFTS VENDOR CONTRACT/RELEASE
ORDER SONS OF ITALY IN AMERICA LODGE 2662 ARTS & CRAFTS VENDOR CONTRACT/RELEASE DATE: JUNE 22 & 23, 2019 OCTOBER 5 & 6, 2019 LOCATION: THE MARKET COMMONS TIME: JUNE SATURDAY 11 AM 8 PM / SUNDAY 11 PM 7
More informationGENERAL RELEASE AND COVENANT NOT TO SUE THIS IS A GENERAL RELEASE AND WAIVER OF ALL LEGAL RIGHTS READ CAREFULLY AND UNDERSTAND FULLY BEFORE SIGNING
GENERAL RELEASE AND COVENANT NOT TO SUE THIS IS A GENERAL RELEASE AND WAIVER OF ALL LEGAL RIGHTS READ CAREFULLY AND UNDERSTAND FULLY BEFORE SIGNING Name of Participant: (print) Program and Destination:
More informationElla Sharp Park, 3225 Fourth Street, Jackson, MI 49203
July 18 and 19 2014 Arts/Crafts, Non-Profit Merchandise, Commercial Vendor Application Ella Sharp Park, 3225 Fourth Street, Jackson, MI 49203 Business Name Contact Person Address City State Zip Telephone
More informationFacility Use Request Instructions. *Each Facility Use Request/Park Permit must go before the Village Board for approval.
Facility Use Request Instructions *Each Facility Use Request/Park Permit must go before the Village Board for approval. In order for the event to go before the Village Board for approval, please provide
More information2017 Camper Application
Centennial Forest Environmental Education Programs 2017 Camper Application NAU Centennial Forest P.O. Box 15018 Flagstaff, AZ 86011 (928) 523-6727 Phone (928) 523-1080 Fax www.nau.edu/cfcamps Thank you
More informationRHO OMEGA & FRIENDS. A non-profit corporation of Rho Omega Chapter of Omega Psi Phi Fraternity, Inc.
RHO OMEGA & FRIENDS A non-profit corporation of Rho Omega Chapter of Omega Psi Phi Fraternity, Inc. 34 TH LET THE GOOD TIMES ROLL FESTIVAL SHREVEPORT, LA JUNE 21-23, 2019 FESTIVAL BOOTH RENTAL POLICY Rho
More informationVENDOR APPLICATION. Atlanta Boxer Rescue Boxerstock 2016 VENDOR BOOTH APPLICATION. Jim R. Miller Park, 2245 Callaway Road, Marietta, GA 30008
VENDOR APPLICATION Atlanta Boxer Rescue Boxerstock 2016 VENDOR BOOTH APPLICATION Sunday, October 23, 2016 12:00 noon 6:00 pm Jim R. Miller Park, 2245 Callaway Road, Marietta, GA 30008 Please read all information
More informationSPECIAL EVENT NON-EXCLUSIVE RENTAL AGREEMENT
User 1 Name User 1 Email User 1 Phone # User 2 Name User 2 Email User 2 Phone # Circle Type of Event: Event Date: MM/DD/YY *Memorial *Wedding Ceremony Only Hours Desired Wedding & Reception Reception Only
More informationAnimal Adoption Center Youth Volunteer Application You must be years of age and have health insurance to participate. Please print clearly!
Animal Adoption Center Youth Volunteer Application You must be 12-15 years of age and have health insurance to participate. Please print clearly! 702 N. Grimes Hobbs, NM 88240 Tel: 575.397.9323 Gender
More informationDepartment of Natural Resources. VENDOR: Name: Address: Phone #: Address: Contact Name: Contact Vendor #:
NUMBER Invitation to Bid ITB 10 170007282-1 Department of Natural Resources DATE OF ISSUE February 03, 2017 TITLE OF SOLICITATION: DEADLINE FOR RESPONSES: Purchase of Remote Camp for Mental Health Trust
More informationSponsoring Organization Information Legal Business Name: Address: City: State/Zip: Mailing Address: City: State/Zip: Telephone: Address:
City of Mason Special Events Application Complete and return this application to the City Clerk's Office at least 21 calendar days prior to the starting date of the event. A new application must be submitted
More informationLOS GATOS COMMUNITY AQUATICS CENTER POOL RENTAL APPLICATION
LOS GATOS COMMUNITY AQUATICS CENTER POOL RENTAL APPLICATION This application form and all other required documentation must be completed at least 10 days prior to use of the Los Gatos Community Aquatics
More informationMOVE: The College Overnight Visit Experience Program Release and Participation Agreement
MOVE: The College Overnight Visit Experience Program Release and Participation Agreement Student s Name: M.O.V.E. Date student will attend: Release & Participation Agreement I, (print full name of parent
More informationE COMMUNITY USE OF SCHOOL FACILITIES FORM
Sioux City Community School District 627 4 th Street Sioux City, IA 51101 1004.1-E COMMUNITY USE OF SCHOOL FACILITIES FORM Scheduled created on: Event Title: Event Begin Date: Begin Time: Location: End
More informationAPPLICATION FOR THE ADOPT-A-STREET PROGRAM
APPLICATION FOR THE ADOPT-A-STREET PROGRAM Group Name (Applicant): Contact Person: E-Mail Address: Address: Phone Number: Street Name and Limits: I,, acting as or for the above named Applicant, acknowledge
More informationIvy Tech Community College
Ivy Tech Community College POLICY TITLE International Travel for Faculty/Staff POLICY NUMBER ASOM 7.15 PRIMARY RESPONSIBILITY Academic Affairs CREATION/REVISION/EFFECTIVE DATES Created July 2013/Effective
More informationMAKE WELLSTON BEAUTIFUL, INC
MAKE WELLSTON BEAUTIFUL, INC Parks and Recreation Programs REGISTRATION FORM Please submit this form along with your completed Emergency/Release Form and Registration Fee. Make checks payable to Make Wellston
More informationForeign Travel Participation Agreement and Waiver of Liability
Foreign Travel Participation Agreement and Waiver of Liability In consideration of the undersigned participant s (the Participant ) participation in the [Name of School] (the School ) trip to [Trip Location]
More information2015 CITIZENS REVIEW PROCESS DUE FRIDAY, FEBRUARY 20, 2015 BY 4:30 P.M.
2015 CITIZENS REVIEW PROCESS APPLICATION FOR 2016 FUNDING (Pending Successful Community Campaigns) Sequoyah Council, Boy Scouts of America Agency: Youth Development Program: DUE FRIDAY, FEBRUARY 20, 2015
More informationFACULTY-LED STUDY ABROAD PROGRAM APPLICATION
FACULTY-LED STUDY ABROAD PROGRAM APPLICATION Country of Study: Dates of Travel: I. PARTICIPANT INFORMATION Name: Street Address: City: State: Zip Code: Date of Birth: Passport #: Country of Citizenship:
More informationEvent Registration Form
Event Registration Form Event and Date: Rider s Name: Rider s Address: Rider s Cell Phone: Rider s Age: Horse s Name: What level is your horse currently training: If you will be riding in the Fix-A-Test
More informationAPPLICATION FOR COMMUNITY USE OF SCHOOL FACILITIES
APPLICATION FOR COMMUNITY USE OF SCHOOL FACILITIES Please Submit Application To: COMMUNITY USE OF SCHOOLS OFFICE 3301 Stafford Drive Charlotte, NC 28208 980-343-5290 SCHOOL REQUESTED: (List In Order Of
More informationRiley Equine Center, Inc.
Dear Prospective Volunteer, Thank you for your inquiry about the volunteer opportunities at Riley Equine Center. We are a not-for-profit organization that uses horses to encourage physical and mental development
More informationFor Participants in State University of New York Administered Overseas Academic Activities
AGREEMENT AND RELEASE FOR STUDY ABROAD STATE UNIVERSITY OF NEW YORK Overseas Academic Programs For Participants in State University of New York Administered Overseas Academic Activities To the Student:
More informationREQUEST FOR AUTHORIZATION STUDENT TRAVEL: UNIVERSITY ORGANIZED OR SPONSORED EVENTS THE UNIVERSITY OF TEXAS AT AUSTIN. Requestor/Sponsor Information
Part I. Requestor/Sponsor Information Name of University Employee Responsible for Trip: Position /Title: Administrative Unit/Organization: Phones: Office Cell Email Part II. Trip Information Purpose of
More informationLet Your Event Shine. Amenities. Operations. Theatre. Church Outings Weddings. Fundraisers Concerts. Fairs & Festivals Conferences.
Location & Directions From Interstate 75: Travel north on Joslyn Rd. via Exit 83. Take approximately 3.8 miles and turn east on Waldon Rd. After.20 miles, turn left onto Joslyn Ct. Parking & Access Amphitheater
More informationCity of Elmhurst Film Production Permit Application
Please Note there is a Minimum Processing Period of: 30 Days for Class A Permits and 3 Days for Class B Permits Processing Fee: $ 200 Please Note Additional Fees May Apply Class A Permit: Class B Permit:
More informationRequest for Proposal for Cleaning Services
` Request for Proposal for Cleaning Services Introduction Hands TheFamilyHelpNetwork.ca is soliciting proposals for a (3) year contract for interior cleaning services at the following locations: Bracebridge,
More informationForms may be submitted via the following options:
2018 Summer Scholars Forms or Information to Submit c CU Camp/Program Health Examination Form c Clemson University Parental Permission Form and Release of Liability for Youth Camps or Programs c CU Housing
More informationEvents. P o licyivingston. CITY OF LIVINGSTON Special Events Policy. Photos by Livingston Enterprise photographer, Shawn Raecke
Events CITY OF LIVINGSTON Special Events Policy P o licyivingston Photos by Livingston Enterprise photographer, Shawn Raecke Table of Contents Special Event Conditions...3 Insurance Information. 5 Special
More informationADULT 5-ON-5 BASKETBALL LEAGUE 2019
ADULT 5-ON-5 BASKETBALL LEAGUE 2019 Welcome to s Adult 5-on-5 Basketball league. Seasons are either 8 or 10 weeks of play followed by play-offs (if you qualify). TEAM REGISTRATION: Submit team roster and
More informationBITCAMP TERMS AND CODE OF CONDUCT BY PARTICIPATING IN BITCAMP, YOU AGREE TO THE FOLLOWING TERMS AND ALL OTHER APPLICABLE DOCUMENTS.
BITCAMP TERMS AND CODE OF CONDUCT BY PARTICIPATING IN BITCAMP, YOU AGREE TO THE FOLLOWING TERMS AND ALL OTHER APPLICABLE DOCUMENTS. Henceforth, "I", me, "my", myself, and other first-person pronouns shall
More informationFASHION INSTITUTE OF TECHNOLOGY OFFICE OF INTERNATIONAL PROGRAMS AGREEMENT FOR ASSUMPTION OF RISK AND RELEASE FOR INTERNATIONAL STUDY
FASHION INSTITUTE OF TECHNOLOGY OFFICE OF INTERNATIONAL PROGRAMS AGREEMENT FOR ASSUMPTION OF RISK AND RELEASE FOR INTERNATIONAL STUDY Students accepted to participate in international academic activities
More information